MedicaidBilling CodesMedium impact
CMAP COVID-19 Response - Addition of Lab Codes pdf
Connecticut Medicaid (HUSKY Health)·CT·Provider Bulletin
Effective date
Mar 13, 2020
We identified it
Jun 20, 2026
Summary
Connecticut Medical Assistance Program (CMAP) added five new COVID-19 testing procedure codes to their laboratory fee schedule with specific reimbursement rates. The policy includes antibody testing codes and high throughput testing codes with different effective dates and payment amounts.
Action Required
Immediately: Billing team must update laboratory billing system to include new COVID-19 procedure codes 86328 ($45.23), 86769 ($42.13), 87635 ($51.31), U0003 ($100.00), and U0004 ($100.00) for Connecticut Medicaid claims. Use U0003 instead of 87635 for high throughput diagnostic testing effective April 14, 2020. Use U0004 instead of U0002 for high throughput multiple target testing. Do not use U0003 or U0004 for antibody testing. Download updated fee schedule from www.ctdssmap.com under Provider Fee Schedule Download.